| NPI | 1407383771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.021583) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN304925) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-12-02 |